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CITY OF ROSEVILLE <br />2660 Civic Center Drive <br />Roseville, Minnesota 55113 <br />Please check item or items for which you are applying: <br />Rezoning <br />Special Use Permit $100 Division of Platted Lot <br />Vacation of Right-of-Way$100 r Relocation of Dwelling $50 <br />Preliminary and Final Pat $100 Variance to Zoning Ordinance $50 <br />$100 Minor Variance <br />Please complete form by t �25 <br />tionalshe <br />rto theinting in ink. If the spaces provided <br />item numbers: ets, keying information <br />are insufficient, use addi <br />proper <br />Name of Owner: <br />(First) (Middle) <br />2 . /2 74�' ( Last) (phone) <br />Address of Owne : D t a dif� ,ij/ <br />� <br />(No. and Street) `� �1/3 <br />3. cp 1.e a (City) (State) (Zip) <br />Name of A <br />Pplicant: (First) (Middle) <br />4. S � ? J (Last) M(Phone) <br />Address of Applicant: (No. and Street) <br />5. l 2 7 !City) (State) (Zip) <br />Street Address of Property Involved: <br />6. Complete Legal Description of Property Involved: <br />7. Date Property Acquired: SV-_ r <br />8 • Present Use of Property: 2SrS/�j <br />Proposed Use of Property: <br />9. Present Zoning of Property: <br />Proposed Zoning of Property: <br />10. W�at plan or change makes this request necessary? <br />d' _ _ .� E,� � be G% 1 k C' !? fir. <• _ � c , 1 _ _. __ �� ��� 2 C /� <br />1• What is the expected effect of the proposed change? <br />property values, health, safet P (For example, on <br />a4�Y, Parking, traffic conditions, etc.) <br />L' //�►,/�.��' c�2 �" /t et r c* l�s !'�+ f7— � '� f %Li J �, a ,� i l U��U�.0 r /!/C� au _.P f /� Q <br />